Individual provider Active NPI

Danielle Mugerian, DO

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1962996470
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101025880 Issued in MI
Practice address
1200 E Michigan Ave
Lansing, MI 48912-1800
Phone
(175) 364-5779
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101025880 MI Primary

Addresses

Primary practice location

1200 E Michigan Ave
Lansing, MI 48912-1800

Mailing address

1200 E Michigan Ave
Lansing, MI 48912-1800
Phone (175) 364-5779

Other names 1

  • Danielle Robson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Sparrow.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210609002021 MI Practitioner - Family Practice 6204236490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2900 Hannah Blvd
Suite 104
East Lansing, MI 48823-5380
Phone (517) 364-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince May 15, 2021 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince May 15, 2021 Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2900 Hannah Blvd
Ste 104
East Lansing, MI 48823
Phone (517) 364-8000

1200 E Michigan Ave
Lansing, MI 48912
Phone (517) 267-2460

Interoperability endpoints

  • Direct secure messaging: dmugerian60779@sparrowdirecthie.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1962996470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "175-364-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "175-364-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGERIAN",
        "first_name": "DANIELLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2021-07-07",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101025880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Sparrow.org",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "1200 E Michigan Ave",
            "city": "Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "489121800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "ROBSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.